Evidence map›Paper›PMID 25047711›Full record

ArticleSocial science & medicine (1982)2014

Results from using a new dyadic-dependence model to analyze sociocentric physician networks.

Sudeshna Paul, Nancy L Keating, Bruce E Landon, A James O'Malley

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Applications of network analysis to routinely collected health care data: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2018
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Sudeshna PaulNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA. Electronic address: sudeshna.paul@emory.edu.
Nancy L KeatingDepartment of Health Care Policy, Harvard Medical School, Boston, MA 02115-5899, USA. Electronic address: keating@hcp.med.harvard.edu.
Bruce E LandonDepartment of Health Care Policy, Harvard Medical School, Boston, MA 02115-5899, USA. Electronic address: landon@hcp.med.harvard.edu.
A James O'MalleyDartmouth College, The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Suite 300, Room 3066, 35 Centerra Parkway, Lebanon, NH 03766, USA. Electronic address: James.OMalley@Dartmouth.edu.

Funding

The Spread of Health Behaviors in the Framingham Heart Study Social NetworkP01AG031093 · NIA · YALE UNIVERSITY · PI CHRISTAKIS, NICHOLAS A · 2008 to 2012
$10.7M
Social Networks and the Spread of Cancer Care PracticesR01CA174468 · NCI · HARVARD MEDICAL SCHOOL · PI KEATING, NANCY L, LANDON, BRUCE E. · 2013 to 2016
$2.6M
NCI NIH HHS R01 CA174468NIA NIH HHS P01 AG031093
6 · The paper itself

Abstract

Professional physician networks can potentially influence clinical practices and quality of care. With the current focus on coordinated care, discerning influences of naturally occurring clusters and other forms of dependence among physicians' relationships based on their attributes and care patterns is an important area of research. In this paper, two directed physician networks: a physician influential conversation network (N = 33) and a physician network obtained from patient visit data (N = 135) are analyzed using a new model that accounts for effect modification of the within-dyad effect of reciprocity and inter-dyad effects involving three (or more) actors. The results from this model include more nuanced effects involving reciprocity and triadic dependence than under incumbent models and more flexible control for these effects in the extraction of other network phenomena, including the relationship between similarity of individuals' attributes (e.g., same-gender, same residency location) and tie-status. In both cases we find extensive evidence of clustering and triadic dependence that if not accounted for confounds the effect of reciprocity and attribute homophily. Findings from our analysis suggest alternative conclusions to those from incumbent models.

Indexed as

Interprofessional RelationsModels, TheoreticalPhysician-Patient RelationsPractice Patterns, Physicians'Social NetworkingCommunicationHumansDyadic independenceLatent variablesPatient sharingPhysician influenceSociocentric networkTransitivity

Identifiers

PMID25047711
PMCPMC4350784

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.